Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.19 / $234.19 / $365.34	Facility		$234.19	$234.19	$365.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.77 / $234.19 / $234.19	Professional		$210.77	$234.19	$234.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.98 / $278.85 / $489.76	Facility		$199.98	$278.85	$489.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.65 / $184.89 / $197.83	Professional		$175.65	$184.89	$197.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.38 / $256.38 / $256.38	Facility		$256.38	$256.38	$256.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $148.55 / $375.31	Professional		$112.77	$148.55	$375.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $234.19 / $430.32	Facility		$219.62	$234.19	$430.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $210.77 / $232.31 / $295.82	Professional		$210.77	$232.31	$295.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.12 / $224.53 / $275.56	Professional		$204.12	$224.53	$275.56
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $148.28 / $247.14	Professional		$103.54	$148.28	$247.14